Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Western Illinois Medical Group, LLC

Organization Dermatology Physician · NPI 1205958741

Western Illinois Medical Group, LLC provides Dermatology Physician services in Macomb, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

909 E Grant St
Macomb, IL 61455-3371
Phone: (309) 837-7546
Fax: (312) 674-7546
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
Family Medicine Physician Taxonomy 207Q00000X · Licence 036099467 (IL)

Record details

NPI number1205958741
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Xiaolu Li — Physician · (309) 837-7546
NPI enumeratedApril 4, 2007
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023
Mailing address909 E Grant St, Macomb, IL 61455-3371

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